Association Between Turn Impairments and Cognitive Function in Parkinson Disease.

Objective: To investigate the association of turn parameters with cognitive status in patients with Parkinson disease (PD) and determine the value of turn performance in distinguishing PD‐related cognitive impairment (CI) from normal cognition (NC). Methods: This study recruited 168 patients with PD...

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Publicado en:Aging Medicine Vol. 8; no. 4; pp. 286 - 294
Autores principales: Xu, Shanhu, Kong, Linlin, Liu, Xiaoli, Lou, Yue, Gu, Luyan, Xu, Qiuhan, Tan, Xun, Pu, Jiali, Zhang, Baorong
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Aug2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2025
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1002/agm2.70033
        187635504
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        atl: Association Between Turn Impairments and Cognitive Function in Parkinson Disease.
      aug:
        au:
          Xu, Shanhu
          Kong, Linlin
          Liu, Xiaoli
          Lou, Yue
          Gu, Luyan
          Xu, Qiuhan
          Tan, Xun
          Pu, Jiali
          Zhang, Baorong
        affil: Department of Neurology, Second Affiliated Hospital Zhejiang University School of Medicine, Hangzhou, China
      sug:
        subj:
          Parkinson Disease Complications
          Cognition
          Gait Disorders, Neurologic
          Cognition Disorders Risk Factors
          Risk Assessment
          Walking
          Task Performance and Analysis
          Human
          Male
          Female
          Cross Sectional Studies
          Nonexperimental Studies
          Descriptive Statistics
          Clinical Assessment Tools
          Parametric Statistics
          Mann-Whitney U Test
          Chi Square Test
          Data Analysis Software
          Quality of Life
          Age Factors
          Hallucinations
          Severity of Illness
          Educational Status
          Depression
          Sex Factors
          Funding Source
          Scales
          Male
          Female
      ab: Objective: To investigate the association of turn parameters with cognitive status in patients with Parkinson disease (PD) and determine the value of turn performance in distinguishing PD‐related cognitive impairment (CI) from normal cognition (NC). Methods: This study recruited 168 patients with PD, including 102 patients with NC and 66 patients with CI. The participants performed 180° turn performance trials during the Timed Up and Go walk and 360° turn trials in place using the MATRIX wearable system. Four turn parameters, namely, turn duration, step count, mean turn angular velocity (MAV), and peak turn angular velocity (PAV), were evaluated. Mini‐Mental State Examination (MMSE) and the Montreal Cognitive Assessment (MoCA) were performed to evaluate cognitive function. Results: In comparison with the PD‐NC group, the PD‐CI group showed significantly higher turn duration and step counts and lower MAV and PAV during both 180° and 360° turns. The four turn parameters were significantly correlated with MMSE and MoCA scores after correction for age and educational level. Regression models suggested that the risk of PD‐CI was associated with step counts and MAV during 360° turns. The area under the curve values of the step counts and MAV during 360° turns for distinguishing PD‐CI from PD‐NC were 0.781 and 0.789, respectively. Conclusion: Our findings indicate that turn performance is associated with cognitive status in patients with PD. Assessment of 360° turn characteristics during routine clinic visits would provide a better understanding of CI status in individuals with PD.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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